2015
A randomized clinical trial of emergency department initiated treatment for opioid dependence: Two and six month outcomes
D’Onofrio G, O’Connor P, Pantalon M, Chawarski M, Busch S, Owens P, Bernstein S, Fiellin D. A randomized clinical trial of emergency department initiated treatment for opioid dependence: Two and six month outcomes. Drug And Alcohol Dependence 2015, 156: e53. DOI: 10.1016/j.drugalcdep.2015.07.1062.Peer-Reviewed Original ResearchEmergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial
D’Onofrio G, O’Connor P, Pantalon MV, Chawarski MC, Busch SH, Owens PH, Bernstein SL, Fiellin DA. Emergency Department–Initiated Buprenorphine/Naloxone Treatment for Opioid Dependence: A Randomized Clinical Trial. JAMA 2015, 313: 1636-1644. PMID: 25919527, PMCID: PMC4527523, DOI: 10.1001/jama.2015.3474.Peer-Reviewed Original ResearchConceptsBrief intervention groupOpioid-dependent patientsIllicit opioid useAddiction treatment servicesPercent of patientsBuprenorphine groupEmergency departmentIntervention groupReferral groupOpioid useTreatment servicesBrief interventionOpioid dependenceClinical trialsHIV riskUrban teaching hospital emergency departmentBuprenorphine/naloxone treatmentHuman immunodeficiency virus (HIV) riskTeaching hospital emergency departmentAddiction treatmentBuprenorphine treatment groupUrine samplesBuprenorphine/naloxoneRandomized clinical trialsCommunity-based treatment services
2014
Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care
Golberstein E, Busch SH, Zaha R, Greenfield SF, Beardslee WR, Meara E. Effect of the Affordable Care Act’s Young Adult Insurance Expansions on Hospital-Based Mental Health Care. American Journal Of Psychiatry 2014, 172: 182-189. PMID: 25263817, PMCID: PMC4314328, DOI: 10.1176/appi.ajp.2014.14030375.Peer-Reviewed Original ResearchConceptsDependent coverage provisionACA dependent coverage provisionEmergency department visitsInpatient admissionsEmergency departmentPsychiatric diagnosisDepartment visitsAffordable Care ActYoung adultsCoverage provisionPsychiatric disordersNon-substance use psychiatric disordersMore inpatient admissionsCalifornia emergency departmentsInsurance coveragePrimary outcome measurePsychiatric inpatient admissionsHospital-based servicesDependent coverage expansionPsychiatric emergency departmentMental health careSubstance use disordersCoverage expansionPrimary diagnosisGeneral HospitalUse of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions
Meara E, Golberstein E, Zaha R, Greenfield SF, Beardslee WR, Busch SH. Use of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions. JAMA Psychiatry 2014, 71: 404-411. PMID: 24554245, PMCID: PMC4140186, DOI: 10.1001/jamapsychiatry.2013.3972.Peer-Reviewed Original ResearchConceptsBehavioral health diagnosesHospital-based careInpatient admission ratesBehavioral health disordersEmergency departmentYoung adultsHealth diagnosisPrimary diagnosisAdmission ratesHealth disordersEmergency department visit ratesInsurance coverageEmergency department useHospital discharge dataUse of hospitalPopulation-based sampleMassachusetts' 2006 health reformSubstance use disordersInsurance coverage expansionBehavioral health needsHealth insurance coverageHealth reformHealth insurance expansionsHospital dischargeInpatient admissions